|
Assay of interleukin-6 (il-6)
|
$186.15 |
$186.15 |
$186.15 |
$79.00
|
|
Assay of osteocalcin
|
$251.25 |
$251.25 |
$251.25 |
$93.60
|
|
Assay of prostaglandin
|
$108.65 |
$108.65 |
$108.65 |
$230.00
|
|
Assay of salicylate
|
$277.40 |
$277.40 |
$277.40 |
$96.50
|
|
Assay of silica
|
$74.95 |
$74.95 |
$74.95 |
$113.10
|
|
Assay of urine sulfate
|
$94.40 |
$94.40 |
$94.40 |
$28.20
|
|
Assess aphasia/interp/rpt/per hr 96105
|
$731.55 |
$731.55 |
$731.55 |
$300.00
|
|
Assess care plan pt w/cog impair 99483
|
$426.50 |
$426.50 |
$426.50 |
$165.30
|
|
Assess cyst contrast inject
|
$943.45 |
$943.45 |
$943.45 |
$453.04
|
|
Assessment leukocyte fecal qualitative/semiquantitative
|
$120.30 |
$120.30 |
$120.30 |
$46.80
|
|
Assistive tech assessment, ot
|
$167.35 |
$167.35 |
$167.35 |
$90.60
|
|
Ast/sgot
|
$108.30 |
$108.30 |
$108.30 |
$45.90
|
|
Atezolizumab 60 mg/ml intravenous solution (wrapper)
|
$26,867.10 |
$26,867.10 |
$26,867.10 |
$22,528.65
|
|
Atropine 0.1 mg/ml injection syringe
|
$87.44 |
$87.44 |
$87.44 |
$53.24
|
|
Attn at delivery+ 1 stabilization of newborn 99464
|
$195.40 |
$195.40 |
$195.40 |
$188.16
|
|
Audiometry air + bone
|
$268.60 |
$268.60 |
$268.60 |
$185.15
|
|
Augumentation percutaneous vertebral inc cavity creation ea addl thoracic/lumbar vertebral body
|
$15,472.40 |
$15,472.40 |
$15,472.40 |
$7,109.05
|
|
Augumentation percutaneous vertebral including cavity creation 1 vertebral body thoracic
|
$15,472.40 |
$15,472.40 |
$15,472.40 |
$10,415.40
|
|
Avelumab 20 mg/ml intravenous solution
|
$4,807.79 |
$4,807.79 |
$4,807.79 |
$3,721.71
|
|
Avul nail plate addl
|
$241.60 |
$241.60 |
$241.60 |
$189.10
|
|
Avulsion nail plate partial/complete simple single nail plate
|
$361.70 |
$361.70 |
$361.70 |
$326.27
|
|
Azacitidine injection
|
$439.19 |
$439.19 |
$439.19 |
$1,047.73
|
|
Azithromycin 500 mg intravenous solution
|
$86.21 |
$86.21 |
$86.21 |
$37.53
|
|
Aztreonam 1 gram solution for injection
|
$715.49 |
$715.49 |
$715.49 |
$157.30
|
|
Baclofen eval charges
|
$167.35 |
$167.35 |
$167.35 |
$87.50
|
|
Bacterial meningitis antigen
|
$62.15 |
$62.15 |
$62.15 |
$66.30
|
|
Bacterial vaginosis pcr
|
$302.75 |
$302.75 |
$302.75 |
$287.04
|
|
#bac vag cand-c. albicans naa
|
$65.30 |
$65.30 |
$65.30 |
$112.80
|
|
Balance and Coordination Retraining (each 15 minutes)
|
$170.05 |
$170.05 |
$170.05 |
$102.20
|
|
Barium Enema (Colon X-ray, barium and air)
|
$2,356.55 |
$2,356.55 |
$2,356.55 |
$820.15
|
|
Barium Enema (Colon X-ray, barium only)
|
$1,758.65 |
$1,758.65 |
$1,758.65 |
$666.90
|
|
Barium Swallow (Esophagus X-ray)
|
$1,272.50 |
$1,272.50 |
$1,272.50 |
$484.80
|
|
Basic vestibular evaluation
|
$1,874.70 |
$1,874.70 |
$1,874.70 |
$346.09
|
|
B cells total count
|
$112.05 |
$112.05 |
$112.05 |
$132.48
|
|
Bcg live 50 mg intravesical suspension
|
$1,724.26 |
$1,724.26 |
$1,724.26 |
$404.04
|
|
Belatacept 250 mg intravenous solution
|
$2,315.88 |
$2,315.88 |
$2,315.88 |
$2,036.75
|
|
Belimumab 120 mg intravenous solution
|
$5,051.87 |
$5,051.87 |
$5,051.87 |
$4,047.32
|
|
Bendamustine 25 mg/ml intravenous solution (belrapzo)
|
$6,202.29 |
$6,202.29 |
$6,202.29 |
$4,107.38
|
|
Benign lesion paring 2-4
|
$448.15 |
$448.15 |
$448.15 |
$264.60
|
|
#_benzodiazconfur
|
$50.40 |
$50.40 |
$50.40 |
$121.60
|
|
Benztropine 1 mg/ml injection solution
|
$585.59 |
$585.59 |
$585.59 |
$108.90
|
|
Beta 2 glycoprotein 1 antibody iga
|
$50.20 |
$50.20 |
$50.20 |
$82.55
|
|
Beta-2 microglobulin
|
$20.10 |
$20.10 |
$20.10 |
$85.20
|
|
Beta-amyloid 1-42
|
$116.30 |
$116.30 |
$116.30 |
$333.00
|
|
Betamethasone acetate and sodium phos 6 mg/ml suspension for injection
|
$107.42 |
$107.42 |
$107.42 |
$65.00
|
|
Bevacizumab 25 mg/ml intravenous solution
|
$7,611.73 |
$7,611.73 |
$7,611.73 |
$5,737.97
|
|
Bevacizumab-awwb 25 mg/ml intravenous solution
|
$6,664.10 |
$6,664.10 |
$6,664.10 |
$3,496.79
|
|
Bevacizumab-bvzr 25 mg/ml intravenous solution
|
$5,858.71 |
$5,858.71 |
$5,858.71 |
$2,617.16
|
|
Bfb train 1st 15min cntct 90912
|
$244.80 |
$244.80 |
$244.80 |
$147.95
|
|
Bfb train ea addl 15 min 90913
|
$141.20 |
$141.20 |
$141.20 |
$101.00
|
|
Bilateral n blobk inj pudendal 64430
|
$2,257.30 |
$2,257.30 |
$2,257.30 |
$1,407.20
|
|
Bilateral n block inj occipital 64405
|
$834.15 |
$834.15 |
$834.15 |
$820.97
|
|
Bilateral n block inj trigeminal 64400
|
$2,256.65 |
$2,256.65 |
$2,256.65 |
$587.60
|
|
Bilicheck
|
$17.50 |
$17.50 |
$17.50 |
$27.60
|
|
Bilirubin direct
|
$93.60 |
$93.60 |
$93.60 |
$51.35
|
|
Bilirubin total
|
$92.55 |
$92.55 |
$92.55 |
$54.60
|
|
Biofeedback, pt
|
$160.60 |
$160.60 |
$160.60 |
$127.05
|
|
Biopsy abdominal mass
|
$2,688.55 |
$2,688.55 |
$2,688.55 |
$1,722.60
|
|
Biopsy bone trocar/needle superficial
|
$2,286.35 |
$2,286.35 |
$2,286.35 |
$1,694.59
|
|
Biopsy cervixsingle/multiple 57500
|
$1,177.45 |
$1,177.45 |
$1,177.45 |
$1,268.54
|
|
Biopsy(ies) & aspiration(s) bone marrow diagnostic (both sides)
|
$7,431.90 |
$7,431.90 |
$7,431.90 |
$2,716.95
|
|
Biopsy muscle percutaneous needle
|
$1,626.40 |
$1,626.40 |
$1,626.40 |
$1,637.50
|
|
Biopsy needle liver percutaneous
|
$2,719.70 |
$2,719.70 |
$2,719.70 |
$1,895.76
|
|
Biopsy needle lymph node superficial
|
$2,769.50 |
$2,769.50 |
$2,769.50 |
$1,890.72
|
|
Biopsy of prostate
|
$2,555.25 |
$2,555.25 |
$2,555.25 |
$2,419.00
|
|
Biopsy of salivary gland 42400
|
$1,911.75 |
$1,911.75 |
$1,911.75 |
$1,145.90
|
|
Biopsy renal percutaneous trocar/needle (both sides)
|
$4,340.75 |
$4,340.75 |
$4,340.75 |
$2,115.00
|
|
Biopsy roof of mouth
|
$2,729.80 |
$2,729.80 |
$2,729.80 |
$1,913.00
|
|
Biopsy skin incisional single lesion
|
$674.00 |
$674.00 |
$674.00 |
$661.80
|
|
Biopsy/soft tissue/neck or thorax 21550
|
$1,070.85 |
$1,070.85 |
$1,070.85 |
$2,462.35
|
|
Biospy of bladder
|
$3,507.40 |
$3,507.40 |
$3,507.40 |
$945.00
|
|
Bis xtracell fluid analysis
|
$273.00 |
$273.00 |
$273.00 |
$235.00
|
|
Bladder Catheter Insertion (simple)
|
$267.25 |
$267.25 |
$267.25 |
$232.30
|
|
Bladder irrigate/lavage/instill 51700
|
$458.90 |
$458.90 |
$458.90 |
$412.80
|
|
Bld prd mix
|
$418.40 |
$418.40 |
$418.40 |
$140.25
|
|
Bleomycin 15 unit solution for injection
|
$1,301.76 |
$1,301.76 |
$1,301.76 |
$220.56
|
|
Blm gene
|
$158.10 |
$158.10 |
$158.10 |
$127.86
|
|
Bln 1.2 mono emrg 15x1.2
|
$750.00 |
$750.00 |
$750.00 |
$9,159.36
|
|
Bln 30frx10mmx12cm renal nephromax
|
$2,395.00 |
$2,395.00 |
$2,395.00 |
$5,330.60
|
|
Bln inpact admiral 4x150x130cm
|
$2,500.00 |
$2,500.00 |
$2,500.00 |
$4,951.39
|
|
Bln press regulation 71-80cm
|
$6,365.00 |
$6,365.00 |
$6,365.00 |
$13,796.54
|
|
Block plantar digital nerve
|
$805.65 |
$805.65 |
$805.65 |
$540.00
|
|
Block tap inj(s) w/wo img bi
|
$5,487.20 |
$5,487.20 |
$5,487.20 |
$1,340.53
|
|
Block tap inj(s) w/wo img uni
|
$3,675.50 |
$3,675.50 |
$3,675.50 |
$876.00
|
|
Blood Clotting (PT/INR) Test
|
$110.55 |
$110.55 |
$110.55 |
$53.30
|
|
Blood Clotting (PTT) Test
|
$190.05 |
$190.05 |
$190.05 |
$74.00
|
|
Blood Count (CBC) Test
|
$105.05 |
$105.05 |
$105.05 |
$74.75
|
|
Blood Count (CBC) Test (without differential)
|
$79.70 |
$79.70 |
$79.70 |
$62.28
|
|
Blood Culture Test
|
$399.85 |
$399.85 |
$399.85 |
$146.16
|
|
Blood draw capillary 36416
|
$28.85 |
$28.85 |
$28.85 |
$20.00
|
|
Blood Draw (Venipuncture)
|
$36.45 |
$36.45 |
$36.45 |
$21.66
|
|
Blood gases o2 saturation direct measurement
|
$122.90 |
$122.90 |
$122.90 |
$226.50
|
|
Blood gases ph venous
|
$102.45 |
$102.45 |
$102.45 |
$64.60
|
|
Blood occult fecal hemoglobin immunoassay qualitative 1-3 simultaneous determinations diagnostic
|
$115.65 |
$115.65 |
$115.65 |
$57.60
|
|
Blood occult feces 1-3 determinations other than neoplasm screening qualitative
|
$51.00 |
$51.00 |
$51.00 |
$33.15
|
|
Blood occult feces colorectal neoplasm screening qualitative
|
$51.00 |
$51.00 |
$51.00 |
$33.57
|
|
Blood occult peroxidase activity qualitative gastric
|
$33.85 |
$33.85 |
$33.85 |
$34.98
|
|
Blood Transfusion
|
$1,502.30 |
$1,502.30 |
$1,502.30 |
$989.60
|
|
Blood typing abo
|
$118.75 |
$118.75 |
$118.75 |
$86.45
|
|
Blood typing ag donor ea ag
|
$276.70 |
$276.70 |
$276.70 |
$207.60
|
